基于数据挖掘《四部医典》中记载豆蔻的配伍规律及其临床应用价值研究

Research on the Compatibility Patterns and Clinical Application Value of Cardamom in “The Four Medical Tantras” Based on Data Mining

摘要: 目的：基于数据挖掘《四部医典》中含豆蔻成分的方剂配伍规律与药性特征，为研究此类药物方剂的临床应用开发及挖掘治疗潜在提供更有力依据。方法：通过运用医学统计学方法，在SPSS Modeler 8.0软件进行数据频数分析与Apriori算法来关联规则挖掘。从《四部医典》中共筛选出含豆蔻的配方311首，最终纳入230首进行统计分析。结果：含豆蔻配方中高频药物包括豆蔻、荜茇、肉桂、石榴、藏红花、黑胡椒、诃子、干姜、肉豆蔻等；关联规则显示核心药物组合为豆蔻配伍筚茇、诃子、干姜等。研究表明，该类配方主要通过增强身体阳气、化解寒湿痰浊、温散寒凝、调和妇科病、清除寒性疾病、疏通白脉(神经系统)、消除水肿(包括浮水)与利尿、温肾散寒等功效，整体在温性药物对寒性疾病的显著疗效。其配伍在寒湿环境下形成的“培根”体质(藏医三因学说中寒湿体质)的衰阳气特征体质，通过温补阳气化解寒性疾病。结论：通过挖掘含豆蔻方剂的配伍规律与协同作用机制，揭示了藏医药独特的“以温制寒”治疗理念，为临床应用及藏药配伍理论研究提供了科学依据。

Abstract: Objective: To investigate the compatibility patterns and medicinal characteristics of cardamom-containing formulas in The Four Medical Tantras through data mining, providing evidence for exploring their clinical application value and therapeutic potential. Methods: Statistical analysis was conducted using SPSS Modeler 8.0 for frequency analysis and Apriori algorithm-based association rule mining. A total of 311 cardamom-containing formulas were screened from The Four Medical Tantras, with 230 systematically analyzed. Results: High-frequency herbs included cardamom, long pepper, cinnamon, pomegranate, saffron, black pepper, chebulic myrobalan, dried ginger, and nutmeg. Association rules revealed core herbal combinations such as cardamom paired with long pepper, chebulic myrobalan, and dried ginger. These formulas primarily function by enhancing yang qi, resolving cold-dampness phlegm turbidity, warming to dispel cold stagnation, harmonizing gynecological blood stasis, eliminating cold pathogens, unblocking white channels (nervous system), alleviating edema and urinary retention, and warming kidneys to dispel cold. Their compatibility mechanism originates from the yang deficiency characteristics of the “Beken” constitution (cold-dampness constitution in Tibetan Tripa-Beken-Lung theory) in high-altitude environments, addressing cold-related disorders through yang-tonifying strategies. Conclusion: This study uncovers the unique Tibetan medical principle of “treating cold disorders with warm-natured therapies” by elucidating the compatibility patterns and synergistic mechanisms of cardamom-containing formulas, offering scientific insights for clinical practice and theoretical research on Tibetan medicinal formulations.